| NPI | 1346078540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 35678) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MD 07129) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-02-11 |